NPI | 1568546018 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA OP61027007) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: ME 1924) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2020-01-22 |